Ferris, Charles Conn
Ferris, Charles Conn is an individual health care provider with primary practice located at 1934 E Montgomery Xrd , Savannah GA 31406-5037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ferris, Charles Conn can be contacted via phone (912) 355-8200.Contact Information
Primary practice address
1934 E Montgomery Xrd
Savannah GA 31406-5037
Phone: (912) 355-8200
Fax: (912) 356-6967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 030060 | Georgia |
Profile Details
| NPI number | 1720081516 |
|---|---|
| LBN Legal business name | Ferris, Charles Conn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 13th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720081516 | NPPES |
| Georgia | Other | 046139 | BLUE CROSS BLUE SHIELD |
| Georgia | MEDICAID | 00369795B | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 300033932 | BLUE CROSS BLUE SHIELD |
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